Provider Demographics
NPI:1689619363
Name:JEFFREY YABLON MD PC
Entity Type:Organization
Organization Name:JEFFREY YABLON MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:YABLON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-327-7514
Mailing Address - Street 1:PO BOX 142
Mailing Address - Street 2:
Mailing Address - City:PALMERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18071-0142
Mailing Address - Country:US
Mailing Address - Phone:610-327-7514
Mailing Address - Fax:610-705-5665
Practice Address - Street 1:1590 MEDICAL DR
Practice Address - Street 2:SUITE A
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3247
Practice Address - Country:US
Practice Address - Phone:610-327-7514
Practice Address - Fax:610-705-5665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
185730OtherHIGHMARK BS
185730OtherHIGHMARK BS